The skull and the urinal symbolise the constant cycles of life; birth, death, and rebirth. The body is born, lives and finally dies, returning to the earth to feed new life. The drinker buys his pint, consumes it, urinates and buys a new pint. The constant physical and spiritual cycles of humanity are embodied in this card. Abrupt change and destruction followed by renewal and re-growth.
Dignified: Positive, abrupt, and certain change. Life will never be the same again. The past has brought you to this cross roads and there is no going back. New life, new hope, and new beginnings. A change of drink or a change of pub is in order.
Ill dignified: The fear of change, and an unwillingness to move on. Perpetual stagnation of both the body and soul, which will result in a drastic change for the worse. Very rarely it can be interpreted as psychical death (get your liver checked!)